highly significantp < 0.001
(Female, age 63) Comparing baseline to year 3, highly significant physical impacts included greater effort to do usual activities (36% vs. 100%, p < 0.001) and greater physical discomfort (34% at year 1 increasing to 94% by year 3, p < 0.001), most commonly affecting walking and exercise, as well as increased trouble with gripping/opening (28% vs 66%, p < 0.01), standing (16% vs 66%, p < 0.001), getting up (16% vs 59%, p < 0.001), climbing stairs (16% vs 56%, p < 0.01), tripping/falling (18.7% vs. 46.9%, p < 0.01), eating/drinking (59% vs. 81%, p < 0.05), and dressing (41% vs. 72%, p < 0.01).